Nickole Bazger, D.O.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

5101020175 Issued in MI

Practice address

18080 Mack Avenue
Grosse Pointe, MI 48230

Phone

(313) 499-8368

Fax

(313) 789-1810

NPI assigned

Jul 23, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nbazger1116745@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Henry Ford Health St. John Hospital

  dba St John North Shores Hospital

  • Podiatrist
  • Harrison Township, MI
  • NPI 1043478910
  Medicare reassignment NPD
• Women's Healthcare Associates of Oakland PLLC

  • Medical Specialty Clinic/Center
  • Lake Orion, MI
  • NPI 1568653780
  Medicare reassignment NPD
• Providence Health & Services Mt

  dba St Patrick Hospital Rehab

  • Rehabilitation Hospital Unit
  • Missoula, MT
  • NPI 1144319138
  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment NPD
• Henry Ford Health St. John Hospital

  dba Henry Ford St John Hospital

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1912965088

  Obstetrics & Gynecology

  NPD
• Huron Pathology Services PC

  • Pulmonary Disease Physician
  • Bad Axe, MI
  • NPI 1265546899
  NPD
• McLaren Thumb Region

  dba Huron Medical Center

  • General Acute Care Hospital
  • Bad Axe, MI
  • NPI 1245257880
  NPD
• McLaren Thumb Region

  dba Huron Medical Center

  • Critical Access Hospital
  • Bad Axe, MI
  • NPI 1518991744
  NPD
• McLaren Thumb Region

  • Rural Health Clinic/Center
  • Port Austin, MI
  • NPI 1558616086
  NPD
• Pathology Specialists of Southeast Michigan PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1023100500
  NPD
• Upper Great Lakes Family Health Center

  dba Upper Great Lakes Family Health Mobile Unit 1

  • Federally Qualified Health Center (FQHC)
  • Laurium, MI
  • NPI 1114788619
  NPD
• Upper Great Lakes Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hancock, MI
  • NPI 1255755757
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1609031202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18080 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306235",
            "telephone_number": "313-499-8368",
            "fax_number": "313-789-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 MACK AVENUE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-499-8368",
            "fax_number": "313-789-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Broadway St Fl 4Bb",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-329-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZGER",
        "first_name": "NICKOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "MED-PHYS-LIC-127437",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101020175",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "5101020175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609031202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Balle, M.D.
• Elizabeth Anne Bankstahl, M.D.
• Jill Banner-Frank, FNP-BC
• Thomas Edward Barbieri, MD
• Richard K Baumgarten, M.D.
• Lena Mohamad Bazzi, DO
• Noelle Beaudry, PT
• Beaumont Medical Group- Specialty Services (Corewell Health Medical Group East Specialty Services)
• Beaumont Pharmacy and Health Services Inc (Beaumont Pharmacy)
• Valerie Catherine Benedict, DO

• Reproductive Endocrinology Physician in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Reproductive Endocrinology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.